DR. JASON BRETT LUPOW M.D.
NPI 1417055674
General Practice in Mamaroneck, NY

Q: What is Jason Lupow's NPI number?

The NPI number for Jason Lupow is 1417055674. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Jason Lupow's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Lupow was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2006PECOS Enrolled

76.52/100

CMS Quality Rating

1030 W BOSTON POST RD, MAMARONECK, NY 10543(914) 777-2273 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jason Brett Lupow M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON BRETT LUPOW M.D. (NPI 1417055674) is an individual general practice provider in Mamaroneck, New York, licensed in New York (237641) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of New York Medical College (2002).

NPPES Registry Identity

NPI1417055674

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JASON BRETT LUPOWCredential: M.D.

Location Address1030 W BOSTON POST RDMamaroneck, NY 10543-3328

Mailing Address10 Mark DrRye Brook, NY 10573-1411 · (917) 704-3356

Phone(914) 777-2273

Sole ProprietorYes

Medical School CMSNew York Medical CollegeGraduated 2002

Enumeration DateSeptember 20, 2006

Last NPPES UpdateOctober 11, 2013

✔ NPI 1417055674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 237641

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License 25MA08061900 (NJ), 237641 (NY)

1030 W BOSTON POST RD, Mamaroneck, NY 10543

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Other Identifiers 3

OtherP00391144NJ · Railroad

Medicare UPINI68233NJ

Medicare PIN107107NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Brett Lupow M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133221054

PECOS Enrollment IDI20080823000080

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jason Lupow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Medical Of Upper East Side, PLLC

1.2 mi

Urgent Care

651 E BOSTON POST RD
Mamaroneck, NY 10543

Reassigned Medicare billing, New York enrollment
596 clinicians in this Medicare group

NPI 1366908089 (914) 219-0156

Montefiore Medical Center

8.3 mi

Anesthesiology

111 E 210TH ST
Bronx, NY 10467

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1063525152 (914) 378-6021

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

133 services133 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

116 services112 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

80 services80 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

60 services60 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

60 services59 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.02

Promoting Interoperability

100

Improvement Activities

Cost

57.73

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHEAST URGENT CARE MEDICAL ASSOCIATES, PLLC

Clinic/Center (Urgent Care)

1030 W BOSTON POST RD, SUITE A
MAMARONECK, NY 10543

Westchester County (914) 777-2273

UC OF MAMARONECK, LLC

Clinic/Center (Urgent Care)

1030 W BOSTON POST RD
MAMARONECK, NY 10543

Westchester County (860) 430-1246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Lupow's NPI number?

The NPI number for Jason Lupow is 1417055674. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jason Lupow located?

Jason Lupow practices at 1030 W Boston Post Rd, Mamaroneck, NY 10543. The listed phone number is (914) 777-2273.

What is Jason Lupow's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jason Lupow enrolled in Medicare?

Yes. Jason Lupow is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Lupow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Lupow reassigns Medicare benefits to 2 organizations: City Medical Of Upper East Side, PLLC (Mamaroneck, NY) and Montefiore Medical Center (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Lupow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jason Lupow affiliated with any hospitals?

According to CMS data, Jason Lupow is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Lupow was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.